Individual
MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 WOODLAND AVE, DULUTH, MN 55812-1113
(763) 760-4210
Mailing address
2631 173RD LN NW, ANDOVER, MN 55304-1378
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
09/13/2024
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